Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess

RAN Xu; LIU Jing-peng; PENG Ju-hong; ZHANG Zuo-xin; XIE Yuan; XIANG Yan; YANG Lin; YIN Jin-bo; LIU Guo-long; LYU Sheng-qing

doi:10.11659/jjssx.06E025152

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Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess

Clinical Research | 更新时间：2025-11-25

- Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 11, Pages: 987-992(2025)
- 作者机构：
  
  陆军军医大学第二附属医院神经外科，重庆 400037
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.06E025152
  CLC： R742.7
- Received：30 June 2025，
  
  Published：25 November 2025
- 稿件说明：
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冉旭,刘景鹏,彭菊红等.神经外科机器人辅助立体定向穿刺引流术治疗脑脓肿的疗效分析[J].局解手术学杂志,2025,34(11):987-992.

RAN Xu,LIU Jing-peng,PENG Ju-hong,et al.Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):987-992.
冉旭,刘景鹏,彭菊红等.神经外科机器人辅助立体定向穿刺引流术治疗脑脓肿的疗效分析[J].局解手术学杂志,2025,34(11):987-992. DOI： 10.11659/jjssx.06E025152.

RAN Xu,LIU Jing-peng,PENG Ju-hong,et al.Therapeutic effect of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):987-992. DOI： 10.11659/jjssx.06E025152.

摘要

目的

评估神经外科机器人辅助立体定向穿刺引流术治疗脑脓肿的临床疗效。

方法

回顾性分析2018年1月至2024年12月我院收治的53例脑脓肿患者的临床资料，其中29例接受开颅脓肿切除术（开颅手术组），24例采用神经外科机器人辅助立体定向穿刺引流术（机器人辅助组）。比较2组患者手术时间、术中出血量、去骨瓣手术率、术后抗生素方案调整比例、术后住院时间、术后并发症发生率、病死率及术后6个月格拉斯哥预后评分（GOS）等指标。

结果

与开颅手术组相比，机器人辅助组患者手术时间显著缩短，术中出血量显著减少，术后并发症发生率显著降低，差异均有统计学意义（

0.05）；但2组患者在去骨瓣手术率、术后住院时间、病死率、术后6个月GOS及术后抗生素方案调整比例方面差异无统计学意义（

0.05）。

结论

对于脑脓肿患者，神经外科机器人辅助立体定向穿刺引流术作为一种精准、微创术式，能有效提升手术操作效率、缩短手术时间、减少术中创伤、降低术后并发症风险，具有较高的临床应用价值及推广潜力。

Abstract

Objective

To evaluate the clinical outcome of neurosurgical robot-assisted stereotactic puncture and drainage for brain abscess.

Methods

A retrospective analysis was conducted on the clinical data of 53 patients with brain abscess admitted to our hospital from January 2018 to December 2024. Among them， 29 cases underwent craniotomy for abscess resection （craniotomy group）， while 24 cases received neurosurgical robot-assisted stereotactic puncture and drainage （robot-assisted group）. The operation time， intraoperative blood loss， decompressive craniectomy rate， proportion of postoperative antibiotic regimen adjustment， postoperative hospital stay， incidence of postoperative complications， mortality rate and Glasgow outcome scale （GOS） scores 6 months after surgery of patients were compared between the two groups.

Results

Compared with the craniotomy group，the robot-assisted group demonstrated significantly shorter operation time，less intraoperative blood loss，and lower incidence of postoperative complication，the d

ifferences were all statistically significant （

0.05）. However，there were no statistically significant differences in terms of decompressive craniectomy rate，postoperative hospital stay，mortality rate，GOS score，or proportion of the postoperative antibiotic regimen adjustment between the two groups（

0.05）.

Conclusion

As a precise and minimally invasive surgical method，neurosurgical robot-assisted stereotactic puncture and drainage for patients with brain abscess can effectively improve the operational efficiency， shorten the operation time， reduce intraoperative injury， and lower the risk of postoperative complications. It has high clinical application value and potential for widespread adoption.

关键词

Keywords

references

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